HomeMy WebLinkAbout1729 1/2 E 3rd St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicat10n description
Subd1v1sion Name
Property Use
Property Zon1ng . . .
Application valuation
04-00000802 Date
.720498
1729 1/2 E 3RD ST
06-30-00-5-5-0265-0000-
PUBLIC WORKS UTILITES
9/10/04
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
DAMAZIO, JOHN S./MARY
1410 N 10TH
COLTON CA 92324
OWNER
Perm1t
Add1tional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
640.00
9/10/04
3/10/05
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per Extension
1.00 640.0000 EA PW W/M 1" SERV 5/8" METER 640.00
------------------------------------------------------------------------~---
Other Fees . . . .. PW WATER SYSTEM USE FEE 1025.00
-,
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 640.00 640.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1025.00 1025.00 .00 .00
Grand Total 1665.00 1665.00 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct All provisions of
laws and ordinances governing this type of work will be compiled with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
l' {Or-Ot(
Date
Signature of Owner (if owner is builder)
T \PLANNING\FORMS\1102 15 [11/14/2003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32] EAST 5TH STREET, PORT ANGELES, WA 98362 04 ~ g DL
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
property zoning
Application valuation
04-00000802 Date
.720498
1729 1/2 E 3RD ST
06-30-00-5-5-0265-0000-
PUBLIC WORKS UTILITES
9/10/04
RS7 RESDNTL SINGLE FAMILY
o
./ 7Lq/b E3fi-o(
Owner
Contractor
DAMAZIO, JOHN S./MARY
1410 N 10TH
COLTON CA 92324
OWNER
-
640.00
9/10/04
3/10/05
plan Check Fee
Valuation
.00
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Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
Qty Unit Charge Per
1. 00 640.0000 EA PW W/M 1" SERV 5/8" METER
EX~
640.00
Other Fees
PW WATER SYSTEM USE FEE
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 640.00 640.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1025.00 1025.00 .00 .00
Grand Total 1665.00 1665.00 .00 .00
/
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type 01 work will be complied with whether specilied herein or not. The granting 01 a permit does not
presume to give authority to violate or cancel the provisions 01 any state or local law regulating construction or the performance 01
construction.
Signature 01 Contractor or Authorized Agent
Date
Signature 01 Owner (il owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [11114/2003]
..
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date IO-IZ--Ocf
Time
7/ft..A..
Received by
~l'\ I S C (phone, person)
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Location of Work to be inspected 11 Z. <} 1-- E 3
Name of person requesting inspection De",vtI S F.
Address of person requesting inspection c:."rJO Yo..rJ, II Cj- :is
/
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other 00..- +e v
INSPECTION NOTES:
Inspected: Date fo -{ '2. -0<.( Time I { A WI. By OeM-"f ,'S E.
Remarks: Cv+ a?0'~ (T- -PrOM/\. Wl<<., ~ '10 11A..RT-t'r, '1:;.,tJ 'f" C.::;:s r I/o...,
e +e",cl I" ai, Ci......6 Se+ ~+er it€.K'r +0 e' 15+/' t,-J.:'_+~r/
xrVlC Re'VLove old J4-trlrer bo C-tV\.d se. te..-Ioo ~
Z2J2t<. '~or bDtk jIv\.~,+e.r5.
C bf30 r O#:i:YC%'::;'bt
RESTORATION REQUiRED...... YES X ' NO
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SURFACE RESTORATION. 3 ~) I t.. X 2 ~
SURFACE TYPE: 0 Unimproved DGravel ;q Asphalt 0 PCC . 0 Other ~lOTC\
o Repaired by City Work Order # 14 7h. S- - 077 , ~ it I
o Repaired by Permittee ci COMPLETE ,'~ \<e~~
C\ No Damage Found 0 INCOMPLETE ~ '^ ~~)"\ lJt \ -(
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(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)